Category: Industry News

NASUAD: August 2014 Medicaid Integration Tracker

Click for the August 2014NASUAD Medicaid Integration Tracker and detail on state by state activity. This is an excellent resource for industry intel!

Comments »
0 Comments

July 2014 GAO Report: Managed Medicaid Payments are = > FFS in 20 States

The recent July 2014 GAO Report defies common beliefs. Managed Medicaid Payments are greater than FFS for E & M in some states. Go figure… but its true, we’d never get bad numbers from the Government Accounting Office. The GAO report states “Within the Medicaid program, managed care payments for E/M services were generally equal to [...]

Comments »
0 Comments

CMS July 2014 Latest Medicaid & CHIP Enrollment #s

Click for CMS July 2014 enrollment reporting for Medicaid.

Comments »
0 Comments

TX Star Kids RFP Released – Vendor Conference July 31, 2014

Senate Bill 71 directs the Health and Human Services Commission to establish a mandatory, capitated STAR Kids managed care program tailored to provide Medicaid benefits to children and young adults with disabilities. Through the Texas Healthcare Transformation and Quality Improvement Program (THTQIP) 1115 Waiver, STAR Kids will serve children and young adults under the age [...]

Comments »
0 Comments

LA to Publish Medicaid RFP July 28, 2014 – Shared Savings Not Working

The Jindal administration announces big changes for Medicaid program. RFP expected Monday July 28, 2014! The Jindal administration is moving toward a program in which the state pays premiums for a private health insurance program for two-thirds of the state’s 1.4 million Medicaid recipients. State Department of Health and Hospitals Secretary Kathy Kliebert announced the [...]

Comments »
0 Comments

Tennessee Sued – Lawsuit Claims Medicaid Application Process Too Hard!

07.23.2014 Tennessee has been sued in a  lawsuit alleges that Tennessee makes it harder than any other state to enroll in its Medicaid program, called TennCare. The state has discontinued accepting applications in person at county offices and instead requires use of computer kiosks that connect people to healthcare.gov, making harder to enroll, according to the suit. [...]

Comments »
0 Comments

NASUAD July 2014 – Medicaid Integration Tracker

(7/15/2014) The Latest on MEDICAID – NASUAD July 2014 Medicaid Integration Tracker: Get the latest report from NASUAD the JULY  report summarizes state actions in managed care for people who receive Medicaid-funded Long-Term Services and Supports (LTSS), as well state initiatives relating to services for people who are dually eligible for Medicaid and Medicare.

Comments »
0 Comments

Kentucky Allows NPs to Practice Solo!

(7/14/2014) Kentucky allows NPs to Practice without a Supervision Physician: Today, July 15, 2014 marks  a pivotal next step for Nurse practitioners and may impact activity in other states. Click for more…

Comments »
0 Comments

Refinements in the ACA Marketplace Navigator Program

(7/10/2014)  Refinement of the ACA Marketplace Navigator Program: The revised rule for the ACA Navigators was published in the Federal Register. Click for the rule… FYI: The 2015 HHS Navigator Grant RFP closed July 10, 2014. The next ACA Marketplace Navigator selections to be announced September 8, 2014.

Comments »
0 Comments

500 Billion $ Question – What’s Changing in Medicaid

(7/8/2014) 500 Billion $ Question – What’s Changing in Medicaid:  NAMD Executive Director Matt Salo shares the significant changes underway in the $500 billion Medicaid program, payment and delivery reform priorities of state Medicaid directors, and challenges faced by state Medicaid executives.

Comments »
0 Comments

Search

Always do right – this will gratify some and astonish the rest. — Mark Twain

Latest News:

“Cowboys vs. Scientists”: HEOPS Sponsors Innovative Network Contracting Congress in Las Vegas February 25, 2010 (Las Vegas, NV) Approximately 100 delegates from many of the nation’s top health plans and key provider organizations met in Las Vegas for the inaugural 2010 Network Contracting Congress on February 25, 2010. This premier network contracting event was organized by Global Media Dynamics and sponsored by HEOPS.

Contact Us

325 Seaboard Lane, Ste 100
Franklin, TN 37067

Mail:
HEOPS, Inc.
PO Box 2403
Brentwood, TN 37024

Phone: 1.615.376.4677 or 1.866.887.3677
Fax: 1.615.376.7771